| NPI | 1386347508 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: AZ 286086) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AZ 286086) |
| Enumeration Date | 2023-03-27 |
| Last Update Date | 2024-03-29 |